Blog

Plastic Surgery Case Study – Large Two-Piece Custom Skull Implant for Fronto-Temporal Contouring after Prior Craniofacial Surgery

Background: Craniofacial surgery is a collection of bone reshaping procedures of the skull and upper face that is typically used to treat various congenital deformities. While most commonly perceived as being done in very young patients, many craniofacial operations can also be done in older patients as well. While craniofacial surgery produces some remarkable results, Read More…

Plastic Surgery Case Study – Occipital Nerve Decompression Migraine Surgery with Fat Flap Coverage

Background: Migraines are a common medical problem with variable causes and no one single effective treatment. Most treatment regimens are pharmacologic or prevention/avoidance of known triggers. While various surgical approaches to the treatment of migraines have been done, none have historically been very successful. Recent migraine surgery has focused a specific subset of migraines patients Read More…

Plastic Surgery Case Study – Custom Jawline Implant in the Aesthetic Improvement of the Low Mandibular Plane Angle Facial Appearance

Background: Aesthetic evaluation of the lower third of the face is historically based on the concepts of the facial thirds. This is a frontal view concept evaluating the vertical relationship/ratios of the upper, middle and lower facial thirds. This linear measurement can detect a short lower third of the face which is aesthetically treated by Read More…

Alloplastic Chin Augmentation Book Chapter

In the new textbook OPERATIVE TECHNIQUES IN CRANIOFACIAL SURGERY I co-wrote a chapter on aesthetic chin surgery entitled ‘Alloplastic Chin Augymentation’. In this chapter is described the basic techniques for the aesthetic correction of chin deficiencies using implants. While this procedure is often viewed as ‘simple’, it often is not well performed with implant selection Read More…

Surgical Technique of Intraoral Vertical Chin Reduction

Reduction of a large chin is far less frequently done than chin augmentation. And it is a procedure that is highly gender influenced, more women have it done than men. As a result, information on chin reduction is less available including the various techniques used to perform it. Like chin augmentation and in selecting how Read More…

Clinical Experience with Cartilage Reshaping Only Otoplasty Surgery

Otoplasty or ear reshaping surgery for prominent ears has a long history of over a century of clinical experience. Since its early inception the focus has been on changing the shape of the cartilage which makes up almost the entire ear with the exception of the earlobe. How to reshape the ear cartilage has been Read More…

Box and U-Shaped Osteotomies for Hypertelorism Repair Book Chapter

In the new textbook OPERATIVE TECHNIQUES IN CRANIOFACIAL SURGERY I co-wrote a chapter on craniofacial-based orbital reconstruction entitled ‘Box and U-Shaped Osteotomies’. In this chapter is described the basic techniques for the surgical correction of orbital dystopias. This is a bony orbital condition where the entire orbital box and its contents are displaced in a Read More…

Plastic Surgery Case Study – Custom Cheek Implants Designed Using The Tripod Base Concept

Background: Cheek augmentation is most commonly done in females. The traditional goal was to create an ‘apple cheek’ midface effect. This is defined as the part of the cheek that enlarges when smiling or laughing. This is anatomically over the main anterolateral projection of the cheekbone and has a rounded appearance. To no surprise this Read More…

Plastic Surgery Case Study – Female Chin Implant Revision for Undesired Vertical Lengthening and Increased Chin Width

Background: Chin augmentation in females is a common procedure that is often combined with other facial procedures (e.g., rhinoplasty) or done as a stand alone surgery. While it is a facial reshaping surgery that has been done for a long time and given that it is also performed frequently, it is assumed that it is Read More…

Surgical Technique in Parietal Eminence Skull Reduction

The skull is typically thought of as a single unified smooth surface throughout its entirety. But the reality is that it is common of 12 different bones that come together and grow to create the overall skull shape. One of these is the parietal bone which is located behind the frontal bone and above the Read More…